Tuesday, October 19, 2010

2 Year Update

OK, well I guess Kinley has been two for awhile now, but I have been meaning to post a two year update since she turned two, so that is what we are going with.

Kinley is still sleeping very well. Her bedtime is typically between 8-8:30 PM and she usually sleeps until at least 7 or 8 AM the next morning. She also takes an afternoon nap which usually starts around 1 PM and lasts until 4 PM. She doesn't always sleep the entire naptime, but she is content to rest in her crib.

We don't really worry about Kinley's eating patterns anymore, which is great considering how focused we were on her nutrition status and weight at first. Kinley has really come a long way from the feeding tube, supplements and thickener that she used to require. Now Kinley eats breakfast when she wakes up, lunch around noon, a cup of milk as a snack when she wakes up from her nap, and dinner around 7 PM. Breakfast is usually french toast sticks or cereal with some type of fruit, usually a banana. Kinley will also get a cup of 2% milk with a 1/4 capful of Miralax mixed in. All of Kinley's cups are now cups with straws. She has outgrown the traditional sippy cup. Lunch and dinner varies from day to day, but Kinley's favorite foods recently are mac and cheese, grilled cheese, Dora yogurt, muffins, crackers and cheese, chicken nuggets, pizza and almost any type of fruit. Kinley is not big into vegetables or meat other than chicken nuggets, but we are working on it. Kinley gets water in her cup with lunch and dinner. I am sure Kinley would prefer milk, but we were told Kinley was getting too much milk, plus her appetite seems to be better for lunch and dinner when we give her water to drink. We have tried letting Kinley have some juice as a little treat, but she doesn't really like it. Kinley has recently learned to use a fork and spoon and actually prefers using utensils to her hands to eat since her hands get less messy that way.

When Kinley turned 2 years old we started giving her a chewy multi-vitamin to help with her nutrition. She is not on any meds, but we do give her a 1/4 capful of Miralax a day.

As of Kinley's last check up on 6/2/10, her weight was 25 lbs (30th percentile). Her height was 34.5 inches (75th percentile). And her head circumference was 19.5 inches (95th percentile). She does not need to go back for a check up until her 3rd birthday. As of Kinley's 2nd birthday, she was wearing size 18 month clothes, size 3 diapers and size 6 shoes. Currently (October 2010) Kinley is wearing size 2T clothes, size 4 diapers and size 7 shoes.

Kinley continues to be seen by Infant and Toddler Services of Johnson County (ITSJC). Her gross motor skills are up to date, but her fine motor skills still need a little more work. Kinley's biggest developmental delay, and ITSJC's main focus, is language/speech skills. In fact, her ITSJC appointments have been increased from every 2 weeks to every week to work more with her speech. Kinley is roughly behind by about 3 months in her speech development, but she has been able to keep pace to not fall any further behind. Hopefully the increase in ITSJC visits will help her to catch up on her language skills. Along with speech therapy from ITSJC, Kinley is seen by an Occupational Therapist (OT) every other week. Kinley's OT works with her on some sensory issues.